| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,127 |
1,112 |
$52K |
| 92015 |
Determination of refractive state |
2,196 |
2,154 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
906 |
893 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
170 |
169 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
131 |
129 |
$6K |
| 92310 |
|
30 |
30 |
$755.00 |